腹腔镜辅助Soave根治术与开腹根治术治疗小儿先天性巨结肠的疗效对比研究

Comparison of Laparoscopic-Assisted Soave Radical Operation and Open Radical Operation for Hirschsprung’s Disease in Children

目的对比分析腹腔镜辅助Soave根治术与开腹根治术在小儿先天性巨结肠中的治疗效果。方法选取88例先天性巨结肠患儿,按手术方式不同分为对照组与研究组,每组各44例。对照组采用传统开腹根治术治疗,研究组采用腹腔镜辅助Soave根治术治疗;对比观察2组患儿手术效果以及术后并发症发生情况。结果2组患儿手术用时比较差异无统计学意义(P>0.05);研究组患儿术中出血量少于对照组,术后肠蠕动时间和住院时间短于对照组(均P<0.01)。研究组并发症发生率明显低于对照组(9.09%比27.27%,P<0.05)。结论相对于开腹根治术,腹腔镜辅助Soave根治术在小儿先天性巨结肠治疗中,手术效果较为理想,有助于减少患儿手术创伤、促进术后康复进程,并可减少术后并发症的发生。

Objective To compare the curative effects of laparoscopic-assisted Soave radical operation and open radical operation on Hirschsprung’s disease in children. Methods Eighty-eight children with Hirschsprung’s disease were assigned to receive either traditional radical laparotomy(control group, n =44) or laparoscopic-assisted Soave radical operation(study group, n =44).Operative outcomes and postoperative complications were compared between the two groups. Results There was no significant difference in operation time between the two groups( P >0.05).Compared with control group,intraoperative blood loss,postoperative peristalsis time and hospital stay remarkably decreased in study group( P <0.01).In addition,the incidence of complications in study group(9.09%) was lower than that in control group(27.27%)( P <0.05). Conclusion Laparoscopy-assisted Soave radical operation is superior to open radical operation for reducing surgical trauma,promoting postoperative rehabilitation and decreasing postoperative complications in children with Hirschsprung’s disease.